ICD-10 Clinical Concepts for Family Practice

Clinical Concepts with matching common ICD-10 codes for family practice providers.

Abdominal Pain

R10.0 - Acute abdomen BILLABLE CODE
R10.10 - Upper abdominal pain, unspecified BILLABLE CODE
R10.11 - Right upper quadrant pain BILLABLE CODE
R10.12 - Left upper quadrant pain BILLABLE CODE
R10.13 - Epigastric pain BILLABLE CODE
R10.2 - Pelvic and perineal pain BILLABLE CODE
R10.30 - Lower abdominal pain, unspecified BILLABLE CODE
R10.31 - Right lower quadrant pain BILLABLE CODE
R10.32 - Left lower quadrant pain BILLABLE CODE
R10.33 - Periumbilical pain BILLABLE CODE
R10.84 - Generalized abdominal pain BILLABLE CODE
R10.9 - Unspecified abdominal pain * BILLABLE CODE

Acute Respiratory Infections

J02.8 - Acute pharyngitis due to other specified organisms BILLABLE CODE
J02.9 - Acute pharyngitis, unspecified * BILLABLE CODE
J06.9 - Acute upper respiratory infection, unspecified * BILLABLE CODE
J20.0 - Acute bronchitis due to Mycoplasma pneumoniae BILLABLE CODE
J20.1 - Acute bronchitis due to Hemophilus influenzae BILLABLE CODE
J20.2 - Acute bronchitis due to streptococcus BILLABLE CODE
J20.3 - Acute bronchitis due to coxsackievirus BILLABLE CODE
J20.4 - Acute bronchitis due to parainfluenza virus BILLABLE CODE
J20.5 - Acute bronchitis due to respiratory syncytial virus BILLABLE CODE
J20.6 - Acute bronchitis due to rhinovirus BILLABLE CODE
J20.7 - Acute bronchitis due to echovirus BILLABLE CODE
J20.8 - Acute bronchitis due to other specified organisms BILLABLE CODE
J20.9 - Acute bronchitis, unspecified * BILLABLE CODE

Back and Neck Pain

M54.2 - Cervicalgia BILLABLE CODE
M54.5 - Low back pain NON-BILLABLE CODE
M54.6 - Pain in thoracic spine BILLABLE CODE
M54.89 - Other dorsalgia BILLABLE CODE
M54.9 - Dorsalgia, unspecified * BILLABLE CODE

Chest Pain

R07.1 - Chest pain on breathing BILLABLE CODE
R07.2 - Precordial pain BILLABLE CODE
R07.81 - Pleurodynia BILLABLE CODE
R07.82 - Intercostal pain BILLABLE CODE
R07.89 - Other chest pain BILLABLE CODE
R07.9 - Chest pain, unspecified * BILLABLE CODE

Diabetes Mellitus w/o Complications Type 2

E11.9 - Type 2 diabetes mellitus without complications BILLABLE CODE

General Medical Examination

Z00.00 - Encounter for general adult medical examination without abnormal findings BILLABLE CODE
Z00.01 - Encounter for general adult medical examination with abnormal findings BILLABLE CODE
Z12.4 - Encounter for screening for malignant neoplasm of cervix BILLABLE CODE
Z12.5 - Encounter for screening for malignant neoplasm of prostate BILLABLE CODE

Headache

G44.1 - Vascular headache, not elsewhere classified BILLABLE CODE
R51 - Headache NON-BILLABLE CODE
R51.0 - Headache with orthostatic component, not elsewhere classified BILLABLE CODE
R51.9 - Headache, unspecified BILLABLE CODE

Hypertension

I10 - Essential (primary) hypertension BILLABLE CODE
I1A.0 - Resistant hypertension BILLABLE CODE

Pain in Joint

M25.50 - Pain in unspecified joint * BILLABLE CODE
M25.511 - Pain in right shoulder BILLABLE CODE
M25.512 - Pain in left shoulder BILLABLE CODE
M25.519 - Pain in unspecified shoulder * BILLABLE CODE
M25.521 - Pain in right elbow BILLABLE CODE
M25.522 - Pain in left elbow BILLABLE CODE
M25.529 - Pain in unspecified elbow * BILLABLE CODE
M25.531 - Pain in right wrist BILLABLE CODE
M25.532 - Pain in left wrist BILLABLE CODE
M25.539 - Pain in unspecified wrist * BILLABLE CODE
M25.551 - Pain in right hip BILLABLE CODE
M25.552 - Pain in left hip BILLABLE CODE
M25.559 - Pain in unspecified hip * BILLABLE CODE
M25.561 - Pain in right knee BILLABLE CODE
M25.562 - Pain in left knee BILLABLE CODE
M25.569 - Pain in unspecified knee * BILLABLE CODE
M25.571 - Pain in right ankle and joints of right foot BILLABLE CODE
M25.572 - Pain in left ankle and joints of left foot BILLABLE CODE
M25.579 - Pain in unspecified ankle and joints of unspecified foot * BILLABLE CODE

Pain in Limb

M79.601 - Pain in right arm BILLABLE CODE
M79.602 - Pain in left arm BILLABLE CODE
M79.603 - Pain in arm, unspecified * BILLABLE CODE
M79.604 - Pain in right leg BILLABLE CODE
M79.605 - Pain in left leg BILLABLE CODE
M79.606 - Pain in leg, unspecified * BILLABLE CODE
M79.609 - Pain in unspecified limb BILLABLE CODE
M79.621 - Pain in right upper arm BILLABLE CODE
M79.622 - Pain in left upper arm BILLABLE CODE
M79.629 - Pain in unspecified upper arm * BILLABLE CODE
M79.631 - Pain in right forearm BILLABLE CODE
M79.632 - Pain in left forearm BILLABLE CODE
M79.639 - Pain in unspecified forearm * BILLABLE CODE
M79.641 - Pain in right hand BILLABLE CODE
M79.642 - Pain in left hand BILLABLE CODE
M79.643 - Pain in unspecified hand * BILLABLE CODE
M79.644 - Pain in right finger(s) BILLABLE CODE
M79.645 - Pain in left finger(s) BILLABLE CODE
M79.646 - Pain in unspecified finger(s) * BILLABLE CODE
M79.651 - Pain in right thigh BILLABLE CODE
M79.652 - Pain in left thigh BILLABLE CODE
M79.659 - Pain in unspecified thigh * BILLABLE CODE
M79.661 - Pain in right lower leg BILLABLE CODE
M79.662 - Pain in left lower leg BILLABLE CODE
M79.669 - Pain in unspecified lower leg * BILLABLE CODE
M79.671 - Pain in right foot BILLABLE CODE
M79.672 - Pain in left foot BILLABLE CODE
M79.673 - Pain in unspecified foot * BILLABLE CODE
M79.674 - Pain in right toe(s) BILLABLE CODE
M79.675 - Pain in left toe(s) BILLABLE CODE
M79.676 - Pain in unspecified toe(s) * BILLABLE CODE

Other Forms Of Heart Disease

I48.0 - Paroxysmal atrial fibrillation BILLABLE CODE
I48.2 - Chronic atrial fibrillation NON-BILLABLE CODE
I48.91 - Unspecified atrial fibrillation * BILLABLE CODE

Urinary Tract Infection, Cystitis

N30.00 - Acute cystitis without hematuria BILLABLE CODE
N30.01 - Acute cystitis with hematuria BILLABLE CODE
N30.10 - Interstitial cystitis (chronic) without hematuria BILLABLE CODE
N30.11 - Interstitial cystitis (chronic) with hematuria BILLABLE CODE
N30.20 - Other chronic cystitis without hematuria BILLABLE CODE
N30.21 - Other chronic cystitis with hematuria BILLABLE CODE
N30.30 - Trigonitis without hematuria BILLABLE CODE
N30.31 - Trigonitis with hematuria BILLABLE CODE
N30.40 - Irradiation cystitis without hematuria BILLABLE CODE
N30.41 - Irradiation cystitis with hematuria BILLABLE CODE
N30.80 - Other cystitis without hematuria BILLABLE CODE
N30.81 - Other cystitis with hematuria BILLABLE CODE
N30.90 - Cystitis, unspecified without hematuria BILLABLE CODE
N30.91 - Cystitis, unspecified with hematuria BILLABLE CODE
N39.0 - Urinary tract infection, site not specified * BILLABLE CODE

Diabetes Mellitus with Complications Type 2

E11.1 - Type 2 diabetes mellitus with ketoacidosis NON-BILLABLE CODE
E11.10 - Type 2 diabetes mellitus with ketoacidosis without coma BILLABLE CODE
E11.11 - Type 2 diabetes mellitus with ketoacidosis with coma BILLABLE CODE
E11.2 - Type 2 diabetes mellitus with kidney complications NON-BILLABLE CODE
E11.21 - Type 2 diabetes mellitus with diabetic nephropathy BILLABLE CODE
E11.22 - Type 2 diabetes mellitus with diabetic chronic kidney disease BILLABLE CODE
E11.29 - Type 2 diabetes mellitus with other diabetic kidney complication BILLABLE CODE
E11.3 - Type 2 diabetes mellitus with ophthalmic complications NON-BILLABLE CODE
E11.31 - Type 2 diabetes mellitus with unspecified diabetic retinopathy NON-BILLABLE CODE
E11.311 - Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema BILLABLE CODE
E11.319 - Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema BILLABLE CODE
E11.32 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy NON-BILLABLE CODE
E11.321 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema NON-BILLABLE CODE
E11.3211 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye BILLABLE CODE
E11.3212 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye BILLABLE CODE
E11.3213 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral BILLABLE CODE
E11.3219 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye BILLABLE CODE
E11.329 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema NON-BILLABLE CODE
E11.3291 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye BILLABLE CODE
E11.3292 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye BILLABLE CODE
E11.3293 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral BILLABLE CODE
E11.3299 - Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye BILLABLE CODE
E11.33 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy NON-BILLABLE CODE
E11.331 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema NON-BILLABLE CODE
E11.3311 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye BILLABLE CODE
E11.3312 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye BILLABLE CODE
E11.3313 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral BILLABLE CODE
E11.3319 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye BILLABLE CODE
E11.339 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema NON-BILLABLE CODE
E11.3391 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye BILLABLE CODE
E11.3392 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye BILLABLE CODE
E11.3393 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral BILLABLE CODE
E11.3399 - Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye BILLABLE CODE
E11.34 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy NON-BILLABLE CODE
E11.341 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema NON-BILLABLE CODE
E11.3411 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye BILLABLE CODE
E11.3412 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye BILLABLE CODE
E11.3413 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral BILLABLE CODE
E11.3419 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye BILLABLE CODE
E11.349 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema NON-BILLABLE CODE
E11.3491 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye BILLABLE CODE
E11.3492 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye BILLABLE CODE
E11.3493 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral BILLABLE CODE
E11.3499 - Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye BILLABLE CODE
E11.35 - Type 2 diabetes mellitus with proliferative diabetic retinopathy NON-BILLABLE CODE
E11.351 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema NON-BILLABLE CODE
E11.3511 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye BILLABLE CODE
E11.3512 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye BILLABLE CODE
E11.3513 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral BILLABLE CODE
E11.3519 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye BILLABLE CODE
E11.352 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula NON-BILLABLE CODE
E11.3521 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye BILLABLE CODE
E11.3522 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye BILLABLE CODE
E11.3523 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral BILLABLE CODE
E11.3529 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye BILLABLE CODE
E11.353 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula NON-BILLABLE CODE
E11.3531 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye BILLABLE CODE
E11.3532 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye BILLABLE CODE
E11.3533 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral BILLABLE CODE
E11.3539 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye BILLABLE CODE
E11.354 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment NON-BILLABLE CODE
E11.3541 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye BILLABLE CODE
E11.3542 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye BILLABLE CODE
E11.3543 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral BILLABLE CODE
E11.3549 - Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye BILLABLE CODE
E11.355 - Type 2 diabetes mellitus with stable proliferative diabetic retinopathy NON-BILLABLE CODE
E11.3551 - Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye BILLABLE CODE
E11.3552 - Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye BILLABLE CODE
E11.3553 - Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral BILLABLE CODE
E11.3559 - Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye BILLABLE CODE
E11.359 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema NON-BILLABLE CODE
E11.3591 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye BILLABLE CODE
E11.3592 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye BILLABLE CODE
E11.3593 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral BILLABLE CODE
E11.3599 - Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye BILLABLE CODE
E11.36 - Type 2 diabetes mellitus with diabetic cataract BILLABLE CODE
E11.37 - Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment NON-BILLABLE CODE
E11.37X1 - Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye BILLABLE CODE
E11.37X2 - Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye BILLABLE CODE
E11.37X3 - Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral BILLABLE CODE
E11.37X9 - Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye BILLABLE CODE
E11.39 - Type 2 diabetes mellitus with other diabetic ophthalmic complication BILLABLE CODE
E11.4 - Type 2 diabetes mellitus with neurological complications NON-BILLABLE CODE
E11.40 - Type 2 diabetes mellitus with diabetic neuropathy, unspecified BILLABLE CODE
E11.41 - Type 2 diabetes mellitus with diabetic mononeuropathy BILLABLE CODE
E11.42 - Type 2 diabetes mellitus with diabetic polyneuropathy BILLABLE CODE
E11.43 - Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy BILLABLE CODE
E11.44 - Type 2 diabetes mellitus with diabetic amyotrophy BILLABLE CODE
E11.49 - Type 2 diabetes mellitus with other diabetic neurological complication BILLABLE CODE
E11.5 - Type 2 diabetes mellitus with circulatory complications NON-BILLABLE CODE
E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene BILLABLE CODE
E11.52 - Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene BILLABLE CODE
E11.59 - Type 2 diabetes mellitus with other circulatory complications BILLABLE CODE
E11.6 - Type 2 diabetes mellitus with other specified complications NON-BILLABLE CODE
E11.61 - Type 2 diabetes mellitus with diabetic arthropathy NON-BILLABLE CODE
E11.610 - Type 2 diabetes mellitus with diabetic neuropathic arthropathy BILLABLE CODE
E11.618 - Type 2 diabetes mellitus with other diabetic arthropathy BILLABLE CODE
E11.62 - Type 2 diabetes mellitus with skin complications NON-BILLABLE CODE
E11.620 - Type 2 diabetes mellitus with diabetic dermatitis BILLABLE CODE
E11.621 - Type 2 diabetes mellitus with foot ulcer BILLABLE CODE
E11.622 - Type 2 diabetes mellitus with other skin ulcer BILLABLE CODE
E11.628 - Type 2 diabetes mellitus with other skin complications BILLABLE CODE
E11.63 - Type 2 diabetes mellitus with oral complications NON-BILLABLE CODE
E11.630 - Type 2 diabetes mellitus with periodontal disease BILLABLE CODE
E11.638 - Type 2 diabetes mellitus with other oral complications BILLABLE CODE
E11.64 - Type 2 diabetes mellitus with hypoglycemia NON-BILLABLE CODE
E11.641 - Type 2 diabetes mellitus with hypoglycemia with coma BILLABLE CODE
E11.649 - Type 2 diabetes mellitus with hypoglycemia without coma BILLABLE CODE
E11.65 - Type 2 diabetes mellitus with hyperglycemia BILLABLE CODE
E11.65 - Type 2 diabetes mellitus with hyperglycemia BILLABLE CODE
E11.69 - Type 2 diabetes mellitus with other specified complication BILLABLE CODE
E11.69 - Type 2 diabetes mellitus with other specified complication BILLABLE CODE
E11.8 - Type 2 diabetes mellitus with unspecified complications BILLABLE CODE
E11.9 - Type 2 diabetes mellitus without complications BILLABLE CODE

* Codes with a greater degree of specificity should be considered first.